| NPI | 1790145241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9279542) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9279542) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-04-21 |